활성숯 흡인 후 발생한 화학성 폐장염과 동반된 급성호흡곤란증후군-증례 보고-
Acute Respiratory Distress Syndrome with Chemical Pneumonitis after Aspiration of Activated Charcoal-A Case Report-
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Charcoal has been commonly used for enteral detoxication although it causes few adverse effects. The major causes of morbidity and mortality secondary to activated charcoal therapy are pulmonary aspiration, gastrointestinal complication, and fluid and electrolyte abnormalities. Aspiration of charcoal is associated with pulmonary compromise due to increased microvascular permeability with concomitant lung edema, surfactant depletion, atelectasis, and obliterative bronchiolitis. Herein we report the case of a patient with acute respiratory distress syndrome with chemical pneumonitis after aspiration of activated charcoal in sorbitol with a review of the related literatures.
Abstract
Charcoal has been commonly used for enteral detoxication although it causes few adverse effects. The major causes of morbidity and mortality secondary to activated charcoal therapy are pulmonary aspiration, gastrointestinal complication, and fluid and electrolyte abnormalities. Aspiration of charcoal is associated with pulmonary compromise due to increased microvascular permeability with concomitant lung edema, surfactant depletion, atelectasis, and obliterative bronchiolitis. Herein we report the case of a patient with acute respiratory distress syndrome with chemical pneumonitis after aspiration of activated charcoal in sorbitol with a review of the related literatures.
참고문헌 (18)
- "Position statement and practice guidelines on the use of multi- dose activated charcoal in the treatment of acute poisoning. American Academy of Clinical Toxicology. European Association of poisons centres and clinical toxicologists", J Toxicol Clin Toxicol, 37, pp.731~751 (1999)
- Vale JA, "How useful is activated charcoal?", BMJ, 306, pp.78~79 (1993)
- Bond GR, "The role of activated charcoal and gastric emptying in gastrointestinal decontamination: a state-of-the-art review", Ann Emerg Med, 39, pp.273~286 (2002)
- Meredith TJ, "Treatment of paraquat poisoning in man: methods to prevent absorption", Hum Toxicol, 6, pp.49~55 (1987)
- Arnold TC, "Aspiration of activated charcoal elicits an increase in lung microvascular permeability", J Toxicol Clin Toxicol, 37, pp.9~16 (1999)
- Elliott CG, "Charcoal lung. Bronchiolitis obliterans after aspiration of activated charcoal", Chest, 96, pp.672~674 (1989)
- Harris CR, "Accidental administration of activated charcoal into the lung: aspiration by proxy", Ann Emerg Med, 22, pp.1470~1473 (1993)
- Sabga E, "Direct administration of charcoal into the lung and pleural cavity", Ann Emerg Med, 30, pp.695~697 (1997)
- 남해성, "지속성 급성호흡곤란증후군 환자에서 "저용량" 글루코코르티코이드 치료 효과에 대한 예비연구", 대한중환자의학회지, 24(2), pp.80~86 (2009), 대한중환자의학회
- 김병권, "약물 중독에서 경비위관 거치와 흡인성 폐렴의 연관성", 대한내과학회지, 78(1), pp.87~94 (2010), 대한내과학회
- Moll J, "Incidence of aspiration pneumonia in intubated patients receiving activated charcoal", J Emerg Med, 17, pp.279~283 (1999)
- Eddleston M, "Multiple-dose activated charcoal in acute self-poisoning: a randomised controlled trial", Lancet, 371, pp.579~587 (2008)
- Pollack MM, "Aspiration of activated charcoal and gastric contents", Ann Emerg Med, 10, pp.528~529 (1981)
- Golej J, "Severe respiratory failure following charcoal application in a toddler", Resuscitation, 49, pp.315~318 (2001)
- Francis RC, "Acute respiratory failure after aspiration of activated charcoal with recurrent deposition and release from an intrapulmonary cavern", Intensive Care Med, 35, pp.360~363 (2009)
- Donoso A, "Activated charcoal laryngitis in an intubated patient", Pediatr Emerg Care, 19, pp.420~421 (2003)
- Dorrington CL, "The frequency of complications associated with the use of multiple-dose activated charcoal", Ann Emerg Med, 41, pp.370~377 (2003)
- Guharoy SR, "Adult respiratory distress syndrome associated with amitriptyline overdose", Vet Hum Toxicol, 36, pp.316~317 (1994)